两种内镜逆行阑尾炎治疗术的临床应用效果比较

Comparison of clinical application effects of two endoscopic retrograde appendicitis therapies

摘要:

目的 比较两种内镜逆行阑尾炎治疗术（ERAT）在急性非复杂性阑尾炎治疗中的应用效果。方法 选取2021年1月－2023年6月该院收治的急性非复杂性阑尾炎患者100例，随机分为直视组（50例）和对照组（50例）。对照组采用常规ERAT，直视组采用EyeMax洞察胆胰成像系统辅助ERAT，比较两组患者手术时间、阑尾插管时间、阑尾插管成功率、腹痛缓解时间、体温恢复正常时间、白细胞恢复正常时间、住院时间和手术并发症发生率。结果 直视组阑尾插管时间为（5.43±3.51）min，短于对照组的（8.76±5.43）min，直视组手术时间为（45.50±10.65）min，短于对照组的（54.32±13.45）min，差异均有统计学意义（P = 0.000）；两组患者插管成功率、复发率、腹痛缓解时间、体温恢复正常时间、白细胞恢复正常时间、住院天数和并发症发生率比较，差异均无统计学意义（P > 0.05）。结论 EyeMax洞察胆胰成像系统辅助ERAT，能缩短阑尾插管时间和手术时间，且不增加手术并发症，避免了患者和医护人员受到辐射，安全有效，值得临床推广。

Abstract:

Objective To compare the application of two endoscopic retrograde appendicitis therapies (ERAT) in acute uncomplicated appendicitis.Methods 100 patients with acute uncomplicated appendicitis from January 2021 to Jun 2023 were randomly divided into the direct vision group (50 cases) and the control group (50 cases). The control group was treated with conventional ERAT, and the direct vision group was treated with EyeMax Insight pancreaticobiliary imaging system assisted ERAT. The operation time, appendiceal intubation time, success rate of appendiceal intubation, abdominal pain relief time, body temperature recovery time, white blood cell recovery time, hospitalization time, and incidence of surgical complications were compared between the two groups.Results Comparison of appendiceal intubation time and operation time between the two groups: The appendiceal intubation time (5.43 ± 3.51) min and operation time (45.50 ± 10.65) min in the direct vision group were shorter than those in the control group (8.76 ± 5.43) min and (54.32 ± 13.45) min, and the differences were statistically significant (P = 0.000). There were no significant differences in the success rate of intubation, recurrence rate, abdominal pain relief time, body temperature recovery time, white blood cell recovery time, hospitalization time and incidence of surgical complications between the two groups (P > 0.05).Conclusion ERAT assisted by EyeMax Insight pancreaticobiliary imaging system can shorten the time of appendiceal intubation and operation, without increasing the incidence of complications, avoiding radiation exposure for patients and medical staff. It is safe and effective and worthy of clinical promotion.